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Developing a Risk Score for Predicting Multiple Revision Surgeries in Patients With Fracture-Related Infections.
J Am Acad Orthop Surg
January 2025
From the Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL (Yeager, Rutz, Strother, Spitler, and Johnson), and the Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL (Gross, Benson, and Carter).
Introduction: Postoperative infections are a leading cause of morbidity following fracture repair. The purpose of this study is to develop a risk score predicting fracture-related infection (FRI) that will require one versus multiple revision surgeries related to infection eradication and bone healing.
Methods: This is a retrospective cohort study conducted at a single level I trauma center from 2013 to 2020.
Popliteal Neurovascular Bundle Medialization and Axial Flap Rotation to Avoid Bone Impingement in Tibial Turn-up Plasty: A Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Departmento de Cirurgia Ortopédica, IRCCS Azienda Ospedaliera Universitaria di Bologna, Bolonha, Itália.
A 33-year-old male patient developed distal femur chronic osteomyelitis with massive bone loss after an open grade-3b fracture. Following several failed treatments to eradicate infection, a tibial turn-up procedure was performed to provide a stable and functional stump. To avoid neurovascular problems, the popliteal vessels and sciatic nerve were moved medially, and the flap was rotated externally to decrease the collapse.
View Article and Find Full Text PDFDoes the extent of bone defects affect the time to reach full weight-bearing after treatment with the Masquelet technique?
Biomater Biosyst
September 2024
Department of Septic Bone and Joint Surgery, BG Hospital Hamburg, Bergedorfer Straße 10, Hamburg, 21033, Germany.
Methodology: In a consecutive retrospective analysis of 190 patients treated with the Masquelet technique at the BG Klinikum Hamburg from January 2012 to January 2022, subgroup analysis for defect-specific features such as the extent and morphology of the defect were recorded, and their influence on the time to reach full weight-bearing of the affected limb was investigated.
Results And Conclusion: A total of 217 defects were treated in 190 patients using the Masquelet technique. 70 % of all defects were in the tibia, followed by 22 % in the femur and only about 7 % in the upper extremity.
Popliteal deep vein thrombosis in a pediatric patient with S osteomyelitis: a case report.
J Surg Case Rep
December 2024
Texas Tech University of the Health Sciences, El Paso, Department of Orthopaedic Surgery and Rehabilitation, 4801 Alberta Ave, El Paso, TX 79905,United States.
Article Synopsis
- An 11-year-old boy experienced severe pain in his left knee after a minor injury, leading to an MRI that showed a large fluid collection behind the distal femur.
- The diagnosis revealed left popliteal vein thrombosis related to osteomyelitis, and the treatment involved irrigation, debridement, antibiotics, and anticoagulation therapy.
- After 6 months, the patient was symptom-free and cleared for full activity, highlighting the potential link between deep vein thrombosis and osteomyelitis.
Takeout or delivery? Reoperation rates in lower extremity long bone osteomyelitis treated with debridement and local antibiotic delivery systems.
J Clin Orthop Trauma
December 2024
Department of Orthopaedic Surgery, Tulane University School of Medicine, 1415 Tulane Ave, New Orleans, LA, 70112, USA.
Background: Early diagnosis and treatment of osteomyelitis is essential to prevent potential complications including sepsis, extensive bone resection, amputation, and death. Despite current treatment strategies for management of osteomyelitis, recurrence rates reported in the literature are upwards of 25 %. Current evidence comparing the efficacy of differing surgical treatments of osteomyelitis is inconclusive.
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